Cerebral Cortex Communications

Traditional views of cortical motor areas hold that movements of different parts of the body, or effectors, are represented in distinct anatomical locations. The extent of overlap in effector representations has been a topic of debate for decades. We recorded from single neurons in "hand areas" of motor cortex (MC) and posterior parietal cortex (PPC) of tetraplegic humans while they attempted movements across the body. We found a population response to every movement tested in both areas; however, the hand knob of MC more selectively activated for hand movements, whereas PPC did not emphasize any specific effector. Single neurons in MC responded selectively to a single effector or to two effectors that were part of the same limb. In PPC, neurons responded to random combinations of effectors. These findings suggest a transition from highly effector-general representation in PPC to regional effector specificity in MC.

Conflict--the magnitude of co-activation of mutually incompatible response processes--was proposed to explain how cognitive control is invoked (Botvinick et al. 2001) and continues to engage debate (Becker et al. 2024). Original observations consistent with this construct emphasized the primary contribution of cingulate cortex (CC) based on human functional imaging (Botvinick et al., 1999; Carter et al., 2000) and electroencephalogram (Yeung, Botvinick, & Cohen, 2004). In countermanding tasks conflict arises through co-activation of competing GO and STOP processes (Boucher et al. 2007; Schall & Boucher 2007; Sajad et al. 2022). Single neuron activity representing conflict has been described in the supplementary motor cortex of human epilepsy patients (Fu et al., 2019; Sheth et al., 2012) and of macaque monkeys (Sajad, Errington, & Schall, 2022; Stuphorn, Taylor, & Schall, 2000) and in human cingulate cortex (Fu et al., 2019; Sheth et al., 2012) but not in monkey cingulate cortex (Ebitz & Platt, 2015; Ito, Stuphorn, Brown, & Schall, 2003; Nakamura, Roesch, & Olson, 2005). This lack of homology generated debate about the utility of macaques for investigation of cognitive control (Cole et al. 2009; Schall & Emeric 2010). With higher-resolution, less-biased samples, we re-examined the presence of a conflict signal in cingulate cortex of monkeys. Neurons modulating specifically when response conflict was maximal were found in cingulate cortex-- more commonly in the dorsal than the ventral bank. However, such neurons were much more common in supplementary motor cortex. These data confirm the presence of a conflict signal in medial frontal cortex and demonstrate that it can be found in a small fraction of neurons in cingulate cortex. Further research is needed to determine if the weak response conflict signal in cingulate cortex is sufficient or negligible.

Working memory is a limited-capacity system for maintaining and manipulating information for recall. Neurons that generate persistent activity in the primate dorsolateral prefrontal and posterior parietal cortex have been shown to be predictive of behavior in working memory tasks, though subtle differences between them have been observed in how information was represented, in some tasks. The role of different neuron types in each of these areas has not been investigated at depth. We thus compared the activity of neurons classified as fast-spiking, putative interneurons, and regular-spiking, putative pyramidal neurons, recorded from the prefrontal and posterior parietal cortex of male monkeys, to analyze their role in the maintenance of working memory. Our results demonstrate that fast-spiking neurons are active during a range of tasks and generate persistent activity during the delay period over which stimuli need to be maintained in memory. Furthermore, the activity of fast spiking neurons, particularly in the prefrontal cortex, is predictive of the subjects recall no less than that of regular-spiking neurons, which are exclusively projection neurons in the cortex and thus capable of transmitting signals from the prefrontal cortex into other areas. Our results shed light onto the fundamental neural circuits that determine subjects memories and judgments.

Complex sequential behaviours, such as speaking or playing music, often entail the flexible, rule-based chaining of single acts. However, it remains unclear how the brain translates abstract structural rules into concrete series of movements. Here we demonstrate a multi-level contribution of anatomically distinct cognitive and motor networks to the execution of novel musical sequences. We combined functional and diffusion-weighted neuroimaging to dissociate high-level structural and low-level motor planning of musical chord sequences executed on a piano. Fronto-temporal and fronto-parietal neural networks were involved when sequences violated pianists structural or motor plans, respectively. Prefrontal cortex is identified as a hub where both networks converge within an anterior-to-posterior gradient of action control linking abstract structural rules to concrete movement sequences.

The striatum and its dopaminergic input participate in temporal processing and numerous studies provide evidence that interactions between dopamine and acetylcholine are critical for striatal functioning. However, the role of local cholinergic innervation of the striatum in behaviors requiring precise timing has not been specifically investigated. Here, we recorded from presumed striatal cholinergic interneurons, identified as tonically active neurons (TANs), in two male rhesus monkeys performing self-initiated movements after specified learned time intervals have elapsed since a visual cue. We found that 38% of all recorded TANs responded to the cue with a pause in firing and the strength of these responses could be modulated according to the duration of the interval being timed and the accuracy of time estimates. By examining the TAN response to the reward itself and by recording from TANs during a Pavlovian procedure in which no action was required, we found evidence that TAN activity modulation may potentially reflect differences in the animals prediction of reward. Thus, besides their well-known role in predicting and detecting rewarding events, TANs may generate signals related to the processing of time. Our findings suggest a role of the local cholinergic circuitry in the representation of time within the striatum.

The balance of speed with accuracy requires error detection and performance adaptation. To date, neural concomitants of these processes have been investigated only with noninvasive measures. To provide the first neurophysiological description, macaque monkeys performed visual search under cued speed accuracy tradeoff (SAT). Monkeys changed SAT emphasis immediately after a cued switch while neuron discharges were sampled in medial frontal cortex area supplementary eye field (SEF). A multiplicity of SEF neurons signaled production of choice errors and timing errors. Modulation of SEF activity after choice errors predicted production of un-rewarded corrective saccades. Modulation of activity after timing errors signaled reward prediction error. Adaptation of performance during SAT of visual search was accomplished through pronounced changes in neural state from before search array presentation until after reward delivery. These results contextualize previous findings using noninvasive measures, complement neurophysiological findings in visuomotor structures, endorse the role of medial frontal cortex as a critic relative to the actor instantiated in visuomotor structures, and extend our understanding of the distributed neural mechanisms of SAT.\n\nHIGHLIGHTSO_LIMedial frontal cortex enables post-error adjustment during SAT\nC_LIO_LIChoice and timing errors were signaled by partially overlapping neural pools\nC_LIO_LIMedial frontal cortex can proactively modulate visuomotor processes\nC_LIO_LIMedial frontal cortex is to visuomotor circuits as critic to actor\nC_LI

Decision making has been intensively studied in the posterior parietal cortex in non-human primates on a single neuron level. In humans decision making has mainly been studied with psychophysical tools or with fMRI. Here, we investigated how single neurons from human posterior parietal cortex represent numeric values informing future decisions during a complex two-player game. The tetraplegic study participant was implanted with a Utah electrode array in the anterior intraparietal area (AIP). We played a simplified variant of Black Jack with the participant while neuronal data was recorded. During the game two players are presented with numbers which are added up. Each time a number is presented the player has to decide to proceed or to stop. Once the first player stops or the score reaches a limit the turn passes on to the second player who tries to beat the score of the first player. Whoever is closer to the limit (without overshooting) wins the game. We found that many AIP neurons selectively responded to the face value of the presented number. Other neurons tracked the cumulative score or were selectively active for the upcoming decision of the study participant. Interestingly, some cells also kept track of the opponents score. Our findings show that parietal regions engaged in hand action control also represent numbers and their complex transformations. This is also the first demonstration of complex economic decisions being possible to track in single neuron activity in human AIP. Our findings show how tight are the links between parietal neural circuits underlying hand control, numerical cognition and complex decision-making.

The dorsolateral prefrontal cortex plays a critical role in spatial working memory and its activity predicts behavioral responses in delayed response tasks. Here we addressed whether this predictive ability extends to categorical judgments based on information retained in working memory, and is present in other brain areas. We trained monkeys in a novel, Match-Stay, Nonmatch-Go task, which required them to observe two stimuli presented in sequence with an intervening delay period between them. If the two stimuli were different, the monkeys had to saccade to the location of the second stimulus; if they were the same, they held fixation. Neurophysiological recordings were performed in areas 8a and 46 of the dlPFC and 7a and lateral intraparietal cortex (LIP) of the PPC. We hypothesized that random drifts causing the peak activity of the network to move away from the first stimulus location and towards the location of the second stimulus would result in categorical errors. Indeed, for both areas, when the first stimulus appeared in a neurons preferred location, the neuron showed significantly higher firing rates in correct than in error trials. When the first stimulus appeared at a nonpreferred location and the second stimulus at a preferred, activity in error trials was higher than in correct. The results indicate that the activity of both dlPFC and PPC neurons is predictive of categorical judgments of information maintained in working memory, and the magnitude of neuronal firing rate deviations is revealing of the contents of working memory as it determines performance. SIGNIFICANCE STATEMENTThe neural basis of working memory and the areas mediating this function is a topic of controversy. Persistent activity in the prefrontal cortex has traditionally been thought to be the neural correlate of working memory, however recent studies have proposed alternative mechanisms and brain areas. Here we show that persistent activity in both the dorsolateral prefrontal cortex and posterior parietal cortex predicts behavior in a working memory task that requires a categorical judgement. Our results offer support to the idea that a network of neurons in both areas act as an attractor network that maintains information in working memory, which informs behavior.

Some patients with damage to the primary visual cortex (V1) can respond to visual stimuli in their affected visual field, even though they report loss of visual awareness. This phenomenon is termed blindsight. To clarify the visuomotor transformation for hand movement control in the blindsight condition, we conducted multichannel electrocorticographical recordings from the ipsilesional frontal cortex including the frontal eye field, premotor, primary motor, and somatosensory areas during a delayed conditioned two-alternative forced choice manual response task with arbitrary assignment of push-pull manual responses in relation to the visual target cue locations before and after unilateral V1 lesioning in macaque monkeys. Before lesioning, the activity in the dorsal premotor cortex (PMd) showed short latency task-related {theta} ~ band responses that were significantly higher in the successful trials than in the error/miss trials at approximately 200 ms after target cue onset. At 2-3 months after lesioning, the monkeys regained a >80% success rate in response to appearance of the target cue in the lesion-affected visual field. At this stage, similar task-related {theta} ~ band target cue responses were observed in the PMd. Further, Granger causality from the PMd to the primary motor cortex was enhanced in the {theta} ~ , {gamma}, and high-{gamma} bands during the delay period of the task. These results suggested that the PMd plays a crucial role in mediating the visual signals for execution of hand movements in blindsight monkeys. Significant StatementBlindsight is a curious phenomenon in which the patients with damage to the primary visual cortex can still respond to visual stimulus in their blinded visual field despite loss of awareness. Previously we clarified the critical circuits for visually guided saccadic eye movements in blindsight macaques, however, those for the control of hand movements are still unclear. Here, we have recorded the multichannel electrocorticography in the frontal cortices during the conditioned manual response task and found that the dorsal premotor cortex exhibits task-related {theta} ~ band target cue responses at approximately 200 ms after the visual cue onset, similarly to the intact state. This is the first report of electrophysiological recordings in the frontal lobe of the blindsight subjects.

Speech brain-machine interfaces (BMIs) translate brain signals into words or audio outputs, enabling communication for people having lost their speech abilities due to diseases or injury. While important advances in vocalized, attempted, and mimed speech decoding have been achieved, results for internal speech decoding are sparse, and have yet to achieve high functionality. Notably, it is still unclear from which brain areas internal speech can be decoded. In this work, a tetraplegic participant with implanted microelectrode arrays located in the supramarginal gyrus (SMG) and primary somatosensory cortex (S1) performed internal and vocalized speech of six words and two pseudowords. We found robust internal speech decoding from SMG single neuron activity, achieving up to 91% classification accuracy during an online task (chance level 12.5%). Evidence of shared neural representations between internal speech, word reading, and vocalized speech processes were found. SMG represented words in different languages (English/ Spanish) as well as pseudowords, providing evidence for phonetic encoding. Furthermore, our decoder achieved high classification with multiple internal speech strategies (auditory imagination/ visual imagination). Activity in S1 was modulated by vocalized but not internal speech, suggesting no articulator movements of the vocal tract occurred during internal speech production. This works represents the first proof-of-concept for a high-performance internal speech BMI.

The dorsolateral prefrontal cortex (DLPFC) and lateral intraparietal cortex (LIP) in the primate brain are critically involved in working memory during tasks that require the retention of information over a delay. These same regions have also been implicated in reinforcement learning (RL), where information about an animals choice and its outcome is retained to update future reward expectations based on past experiences. We investigated whether spatial memory, required across different behavioral contexts, relies on a shared neural mechanism. To explore this, we analyzed neural activity recorded from rhesus monkeys engaged in three distinct tasks--the oculomotor delayed response task (ODR), a visual search task, and the matching pennies game--each requiring the retention and use of similar spatial information under different cognitive demands. The ODR task demands only prospective memory, as the selection of action is dictated by the location of visual cue, and the subject must retain this intended action for execution after a temporal delay. In contrast, the matching pennies task engages both retrospective and prospective memory: retrospective memory of previous choice and its outcome to inform decision-making, while prospective memory is needed to carry out that decision. Visual search task, by comparison, does not explicitly require either retrospective or prospective memory. Our analysis revealed that neural signals encoding retrospective memory of the animals choice in the visual search and matching pennies tasks were not correlated with the prospective working memory signals of visually cued locations in the ODR task, in either the DLPFC or LIP. Moreover, retrospective choice signals in the visual search and matching pennies tasks were not correlated with each other. In contrast, neural activity related to upcoming choices (prospective memory) in the LIP showed significant correlations across all three tasks. In the DLPFC, prospective choice signals were correlated between the visual search and ODR tasks, but not between those tasks and matching pennies. Additionally, in the DLPFC, neural signals representing previously rewarded choices were significantly correlated with working memory signals during the ODR task. These results suggest that the LIP supports a consistent, shared mechanism for prospective memory linking a committed action to its eventual execution. In contrast, the DLPFC might mediate the transformation of retrospective memory-integrating past choices and outcomes - into a decision and its associated prospective memory.

The measurement of time in the subsecond scale is critical for many sophisticated behaviors, yet its neural underpinnings are largely unknown. Recent neurophysiological experiments from our laboratory have shown that the neural activity in the medial premotor areas (MPC) of macaques can represent different aspects of temporal processing. During interval categorization, we found that preSMA encodes a subjective category limit by reaching a peak of activity at a time that divides the set of test intervals into short and long. We also observed neural signals associated with the category selected by the subjects and the reward outcomes of the perceptual decision. On the other hand, we have studied the behavioral and neurophysiological basis of rhythmic timing. First, we have shown in different tapping tasks that macaques are able to produce predictively and accurately intervals that are cued by auditory or visual metronomes or when intervals are produced internally without sensory guidance. In addition, we found that the rhythmic timing mechanism in MPC is governed by different layers of neural clocks. Next, the instantaneous activity of single cells shows ramping activity that encode the elapsed or remaining time for a tapping movement. In addition, we found MPC neurons that build neural sequences, forming dynamic patterns of activation that flexibly cover all the produced interval depending on the tapping tempo. This rhythmic neural clock resets on every interval providing an internal representation of pulse. Furthermore, the MPC cells show mixed selectivity, encoding not only elapsed time, but also the tempo of the tapping and the serial order element in the rhythmic sequence. Hence, MPC can map different task parameters, including the passage of time, using different cell populations. Finally, the projection of the time varying activity of MPC hundreds of cells into a low dimensional state space showed circular neural trajectories whose geometry represent the internal pulse and the tapping tempo. Overall, these findings support the notion that MPC is part of the core timing mechanism for both single interval and rhythmic timing, using neural clocks with different encoding principles, probably to flexibly encode and mix the timing representation with other task parameters.

The dorsal pulvinar has been implicated in visuospatial attentional and perceptual confidence processing. Pulvinar lesions in humans and monkeys lead to spatial neglect symptoms, including an overt spatial saccade bias during free choices. But it remains unclear whether disrupting the dorsal pulvinar during target selection that relies on a perceptual decision leads to a perceptual impairment or a more general spatial orienting and choice deficit. To address this question, we reversibly inactivated the unilateral dorsal pulvinar by injecting GABA-A agonist THIP while two macaque monkeys performed a color discrimination saccade task with varying perceptual difficulty. We used Signal Detection Theory and simulations to dissociate perceptual sensitivity (d-prime) and spatial selection bias (response criterion) effects. We expected a decrease in d-prime if dorsal pulvinar affects perceptual discrimination and a shift in response criterion if dorsal pulvinar is mainly involved in spatial orienting. After the inactivation, we observed response criterion shifts away from contralesional stimuli, especially when two competing stimuli in opposite hemifields were present. Notably, the d-prime and overall accuracy remained largely unaffected. Our results underline the critical contribution of the dorsal pulvinar to spatial orienting and action selection while showing it to be less important for visual perceptual discrimination.

Volitional suppression of responses to distracting external stimuli enables us to achieve our goals. This volitional inhibition of a specific behavior is supposed to be mainly mediated by the cerebral cortex. However, recent evidence supports the involvement of the cerebellum in this process. It is currently not known whether different parts of the cerebellar cortex play differential or synergistic roles in planning and execution of this behavior. Here, we measured Purkinje cell (PC) responses in the medial and lateral cerebellum in two rhesus macaques during a pro- and antisaccade task. During an antisaccade trial, non-human primates were instructed to make a saccadic eye movement away from a target, rather than towards it, as in prosaccade trials. Our data shows that the cerebellum plays an important role not only during execution of the saccades, but also during the volitional inhibition of eye movements towards the target. Simple Spike (SS) modulation during the instruction and execution period of pro- and antisaccades was prominent in PCs of both medial and lateral cerebellum. However, only the SS activity in the lateral cerebellar cortex contained information about trial identity and showed a stronger reciprocal interaction with complex spikes. Moreover, SS activity of different PC groups modulated bidirectionally in both regions, but the PCs that showed facilitating and suppressive activity were predominantly associated with instruction and execution, respectively. These findings show that different cerebellar regions and PC groups contribute to goal-directed behavior and volitional inhibition, but with different propensities, highlighting the rich repertoire of cerebellar control in executive functions. Significance StatementThe antisaccade task is commonly used in research and clinical evaluation as a test of volitional and flexible control of behavior. It requires volitional suppression of prosaccades, a function that has been attributed to the neocortex. However, recent findings indicate that cerebellum also contributes to this behavior. We recorded from neurons in the medial and lateral cerebellum to evaluate their responses in this task. We found that both regions significantly modulated their activity during this task, but only cells in the lateral cerebellum encoded the stimulus identity in each trial. These results indicate that the cerebellum actively contributes to the control of flexible behavior and that lateral and medial cerebellum play different roles during volitional eye movements.

In a recent review, Vyas et al. commented on our previous observations regarding the presence of response sequences in the activity of cortical neuronal population and the contribution of such sequences to rotational dynamics patterns revealed with jPCA. Vyas et al. suggested that rotations generated from sequence-like responses are different from the ones arising from empirical neuronal patterns, which are highly heterogeneous across motor conditions in terms of response timing and shape. Here we extend our previous findings with new results showing that empirical population data contain plentiful neuronal responses whose shape and timing persist across arm-movement conditions. The more complex, heterogeneous responses can be also found; these response patterns also contain temporal sequences, which are evident from the analysis of cross-condition variance. Combined with simulation results, these observations show that both consistent and heterogeneous responses contribute to rotational patterns revealed with jPCA. We suggest that the users of jPCA should consider these two contributions when interpreting their results. Overall, we do not see any principal contradiction between the neural population dynamics framework and our results pertaining to sequence-like responses. Yet, questions remain regarding the conclusions that can be drawn from the analysis of low-dimensional representations of neuronal population data.

Previously, we have described the laminar organization of neurons in the supplementary eye field (SEF) that signal error, reward gain and loss, conflict, event timing, and goal maintenance. Here we describe the laminar organization of visually responsive neurons that were active during performance of a saccade stop-signal task. Nearly 40% of isolated neurons exhibited enhanced or suppressed responses to a visual target for a potential saccade, with the majority exhibiting enhanced activity and three-quarters with broad spikes. Visually responsive neurons were observed in all layers but were less common in layers 5 and 6. Response latencies were comparable to those reported previously, which are significantly later than those measured in occipital and temporal visual areas but overlapping those measured in cingulate cortex. Task-related visual response latency varied across cortical layers. Response latency was significantly earlier for neurons with narrow spikes. Neurons with task-related visual responses discharged until after saccade production. Around three-fifths of visually responsive neurons were most sensitive to the visual target appearing in one hemifield. Many neurons in layer 2 had ipsilateral receptive fields. Laminar current-source density aligned on visual target presentation revealed the earliest sink in layers 3 followed by a prolonged strong sink more superficially coupled with a weaker prolonged sink in layer 5 and a transient sink in layer 6. The current sink in layers 2 and 3 was stronger for ipsilateral stimuli. These findings reveal new details about visual processing in medial frontal cortex and complete the first catalogue of laminar organization of functional signals in a frontal lobe area.

Novelty detection is a primitive subcomponent of cognitive control that is deficient in Parkinsons disease (PD) patients with cognitive dysfunction. Here, we studied novelty-response mechanisms in PD. In participants with PD, we recorded from cortical circuits with scalp-based electroencephalography (EEG) and from subcortical circuits using intraoperative neurophysiology during surgeries for implantation of deep-brain stimulation (DBS) electrodes. We report three major results. First, novel auditory stimuli triggered midfrontal low-frequency rhythms; of these, 1-4 Hz "delta" rhythms were linked to novelty-associated slowing whereas 4-7 Hz "theta" rhythms were specifically attenuated in PD. Second, 32% of subthalamic nucleus (STN) neurons were response-modulated; nearly all (94%) of these were also modulated by novel stimuli. Third, response-modulated STN neurons were coherent with midfrontal 1-4 Hz activity. These findings link scalp-based measurements of neural activity with neuronal activity in the STN. Our results provide insight into midfrontal cognitive control mechanisms and how purported hyperdirect fronto-basal ganglia circuits evaluate new information.

Perception of a regular beat is essential to our ability to synchronize movements to music in an anticipatory fashion. Beat perception requires multiple, distinct neural functions, corresponding to the perceptual stages that occur over time, including 1) detection that regularity is present (beat finding), 2) prediction of future regular events to enable anticipation (beat continuation), and 3) dynamic adjustment of predictions as the rhythmic stimulus changes (beat adjustment). The striatum has been shown to be crucial for beat perception generally, although it is unclear how, or whether, distinct regions of the striatum contribute to these different stages of beat perception. Here, we used fMRI to investigate the activity of striatal subregions during the different stages of beat perception. Participants listened to pairs of rhythms (polyrhythms) whose temporal structure induced distinct perceptual stages--finding, continuation, and adjustment of the beat. Dorsal putamen was preferentially active during beat finding, whereas the ventral putamen was preferentially active during beat adjustment. We also observed that anterior insula activity was sensitive to metrical structure (greater when polyrhythms were metrically incongruent than when they were congruent). These data implicate the dorsal putamen in the detection of regularity, possibly by detection of coincidences between cortical oscillations, and the ventral putamen in the adjustment of regularity perception, possibly by integration of prediction errors in ongoing beat predictions. Additionally, activity in the supramarginal and superior temporal gyri correlated with beat tapping performance, and activity in the superior temporal gyrus correlated with beat perception (performance on the Beat Alignment Test).

BackgroundAmerican tackle football is associated with high rates of concussion, leading to neurophysiological disturbances and debilitating clinical symptoms. Previous investigations of the neurophysiological effects of concussion have largely ignored aperiodic neurophysiological activity, which is a marker of cortical excitability. PurposeWe examined whether concussion during a season of high school football is related to changes in aperiodic and periodic neurophysiological activity and whether any such changes are associated with clinical outcomes. Materials and MethodsPre- and post-season resting-state magnetoencephalography (MEG) data were collected from 91 high school football players over as many as four seasons of play, for a total of 278 data collections. During these seasons of football play, a cohort of 10 individuals were diagnosed with concussion. MEG data were source-imaged, frequency-transformed and parameterized, and linear mixed models were used to examine effects of concussion on pre-to-post-season changes in neurophysiological activity. Scores on the Post-Concussive Symptom Inventory were correlated with pre-to-post-season neurophysiological changes to determine their clinical relevance. ResultsConcussion was associated with increased aperiodic exponents in superior frontal cortices, indicating a relative reduction in cortical excitability. This slowing of aperiodic neurophysiology mediated concussion effects on raw delta and gamma power and was associated with worse cognitive concerns across participants. Pre-to-post-season changes in aperiodic-corrected alpha and theta rhythmic activity were also decreased in posterior cortices in concussed players. ConclusionThese findings indicate that concussion alters both the excitability and rhythmic signaling of the cortex, with differing spatial topographies and implications for clinical symptoms. Key ResultsO_LIConcussion reduces cortical excitability in superior frontal cortices. C_LIO_LIThis reduction accounts for canonical effects of concussion on delta and gamma power. C_LIO_LIConcussion-related changes in cortical excitability are associated with increased cognitive symptom severity. C_LI

Prolonged sensory imbalance, induced by directing attention to one visual field, can paradoxically enhance performance in the opposite, non-attended visual field. This effect is likely driven by the brains homeostatic mechanisms that regulate excitation and inhibition between hemispheres in homotopic attention processing regions. Here, we employed transcranial random noise stimulation (tRNS) to modulate cortical excitability and probe its role in interhemispheric dynamics controlling visual attention. Specifically, we used a procedure called attentional isolation, where neurotypical participants covertly focused their visual attention in one hemifield (the attended visual field) for 30 minutes. Performance changes in both the unattended (opposite) visual field and the attended visual field were measured following this manipulation. We applied transcranial random noise stimulation (tRNS) over the right or left frontoparietal cortex to modulate the excitability of one hemisphere relative to the other during attention isolation, probing the neural mechanisms underlying the observed contralateral performance shift. Our results showed improved performance in the previously unattended visual field following the attentional isolation period after sham stimulation. However, tRNS revealed a functional dissociation between the hemispheres: right hemisphere active stimulation abolished the performance improvement, while left hemisphere stimulation preserved it. These findings suggest distinct roles for the left and right hemispheres in modulating paradoxical visual performance shifts and may inform the development of novel neurorehabilitation strategies for clinical populations.